Author Question: The nurse is using the Braden Scale to determine a client's risk for developing a pressure ulcer. ... (Read 160 times)

chandani · **on:** Jun 25, 2018

The nurse is using the Braden Scale to determine a client's risk for developing a pressure ulcer. Which of the following areas are assessed with this scale?

1. Home environment
2. Finances
3. Medications
4. Friction and shear

Question 2

A client is diagnosed with venous leg ulcers. The nurse would expect that these wounds will heal by which of the following types of intention?

1. Primary
2. Secondary
3. Tertiary
4. Quaternary

Heffejeff · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

4
The Braden Scale is used to assess a client's risk for developing a pressure ulcer. This scale assesses the areas of sensory perception, moisture, activity, mobility, nutrition, and friction and shear. Home environment, finances, and medications are not assessed with the use of this scale.

Answer to Question 2

2
Primary intention type of healing occurs in wounds that are clean, and have little loss of tissue. Secondary intention occurs when a wound heals by spread of granulation tissue from the base of a wound. Venous leg ulcers heal by secondary intention. In tertiary intention, the wound must be sutured through several layers of granulation tissue in order to bring closure. Quaternary is not a type of wound healing.